Community Support
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Email *
Name *
Other persons living in household
Do you have children under 18 living at home? *
Current Address *
Contact phone # *
Are you currently employed? If so, describe where and hours worked weekly?. *
Have you contacted your township trustee about this need? *
Have you been served by programs offered by Associated Churches (https://www.associatedchurches.org) or Inasmuch Ministries (https://inasmuchfw.org)? *
Have you ever attended worship at St. Joe UMC or St. Joe @ Y? If so, when? *
Have any children in the home participated in Level-Up, St. Joe Youth Group or Faith in Motion?
Are you an employee of the Jackson R Lehman YMCA? (We hold this information in confidence as well and will not share your request with the staff of JRL YMCA, but do desire to know confidentially when and to what extent our efforts aid in the support of our institutional partner). *
What would you describe as your most pressing need for assistance? (Rent assistance, utility assistance, clothing, food, or other) *
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